LINCOLN NATIONAL LIFE INSURANCE COMPANY- LIFE
|
2016
|
270451448
|
2017-10-12
|
VENUS FASHION, INC
|
358
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2016-06-01
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINCOLN NATIONAL LIFE INSURANCE COMPANY- STD
|
2016
|
270451448
|
2017-10-12
|
VENUS FASHION, INC
|
358
|
|
File |
View Page
|
Three-digit plan number (PN) |
602
|
Effective date of plan |
2016-06-01
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINCOLN NATIONAL LIFE INSURANCE COMPANY- LIFE
|
2016
|
270451448
|
2017-10-12
|
VENUS FASHION, INC
|
398
|
|
File |
View Page
|
Three-digit plan number (PN) |
603
|
Effective date of plan |
2016-06-01
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE HEALTH CARE PLAN
|
2016
|
270451448
|
2017-07-13
|
VENUS FASHION, INC
|
253
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-05-15
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL CARE HEALTH
|
2016
|
270451448
|
2017-07-13
|
VENUS FASHION, INC
|
262
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINCOLN LONG TERM DISABILITY
|
2016
|
270451448
|
2017-07-13
|
VENUS FASHION, INC
|
398
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-06-01
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Signature of
Role |
Plan administrator |
Date |
2017-01-05 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE VISION
|
2016
|
270451448
|
2017-07-13
|
VENUS FASHION, INC
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
454110
|
Sponsor’s telephone number |
9046456000
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF FLORIDA HMO
|
2015
|
592015694
|
2016-06-29
|
VENUS FASHION INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
454110
|
Sponsor’s telephone number |
9043946537
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF FLORIDA BO
|
2015
|
592015694
|
2016-06-29
|
VENUS FASHION INC
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
454110
|
Sponsor’s telephone number |
9043946537
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF FLORIDA BO
|
2015
|
592015694
|
2016-06-29
|
VENUS FASHION INC
|
179
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
454110
|
Sponsor’s telephone number |
9043946537
|
Plan sponsor’s mailing address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Plan sponsor’s
address |
11711 MARCO BEACH DR, JACKSONVILLE, FL, 322247616
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
MELISSA THALLEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|